Property Rental Application

Application Information:  
Property You Are Interested In:
Full Legal Name:
Home Phone:
Mobile Phone:
Work Phone:
Email:
Current Address:
Street:
City:
State:
Zip:
Residence Since:
(Date)
Current Monthly Rent: $
Landlord's Name:
Phone:
Reason For Moving:
   
Number of Occupants:  Adults    Children
Number of Pets:  
Do You Smoke?  
Number of Vehicles:
Marital Status:  
   
Employment Information:  
Current Employer:
Street:
City:
State:
Zip:
Supervisor:
Position:
Employed Since:
(Date)
   
Prior Employer:
Street:
City:
State:
Zip:
Supervisor:
Position:
Employment Duration:
(Years)
Annual Income:
   
Sources of Income:  per month 
Wages:
Salary:
Commission:
Tips:
Governmental Assistance:
Child Support/Alimony:
Other:
   
Nearest Living Relative (Not Residing With You)
Name:
Street:
City:
State:
Zip:
Phone:
Relationship:
   
Have you ever been refused tenancy?  
Have you ever been evicted from a rental premise?
If Yes, explain:  
Have you ever willfully or intentionally refused to pay rent when due?
If Yes, explain:  
Have you ever been convicted of a felony?
If Yes, explain:  
Do you use illegal drugs?
Do you associate with drug dealers?
Are members of your family drug dealers?
Are there any circumstances that might interrupt your income or ability to pay rent?
If Yes, explain:  
   
Personal References:  
Name:
Street:
City:
State:
Zip:
Phone:
Relationship:
   
Name:
Street:
City:
State:
Zip:
Phone:
Relationship:
   
Bank References:  
Name:
Branch:
Account Number:
   
  PLEASE NOTE: A LOCAL POLICE RECORD CHECK WILL BE MADE.

Applicant represents that say statements and representations herein made to in due owner to rent an apt/home to applicant are true and correct to the best of his/her knowledge and applicant hereby authorizes verification of such statements.

Applicant hereby authorizes verification of such statements. Applicant agrees that if any such information is misleading, incorrect or untrue, the owner shall have the right to deny tenancy.

B&E Properties Inc. is authorized to verify the references and employment given in this application, and to request a credit check.

Applicant waives any claim for damages by reason of non-acceptance of this application, which the owner may reflect without giving any reason whatsoever for doing so.

IT IS AGAINST THE LAW TO DISCRIMINATE AGAINST PROSPECTIVE TENANTS ON THE BASIS OF RACE, RELIGION, NATIONAL ORIGIN, AGE, OR DISABILITY. LOCAL OR STATE LAWS MAY INCLUDE ADDITIONAL CLASSES WHICH ARE PROTECTED FROM DISCRIMINATION IN HOUSING
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